| Name: | JEMD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 2001 (24 years ago) |
| Entity Number: | 000-214-109 |
| Register Number: | 000214109 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 132 OAKBROOK LANEALABASTER, AL 35007 |
| Registered Office Street Address ZIP Code: | 35007 |
| Principal Address: | 50 Manning PlaceBirmingham, AL 35243 |
| Principal Address ZIP Code: | 35243 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
Health and Wellness Center
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164688560 | 2008-08-05 | 2023-08-10 | 50 MANNING PL, BIRMINGHAM, AL, 352421809, US | 50 MANNING PL, BIRMINGHAM, AL, 352421809, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-664-7707 |
Authorized person
| Name | DR. JESSICA DIETRICH-MARSH |
| Role | CHIROPRACTOR |
| Phone | 2056647707 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 1607 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA HEALTHCARE |
| Number | 5627563 |
| State | AL |
| Issuer | VIVA HEALTH CARE |
| Number | 656333 |
| State | AL |
| Issuer | MEDICARE COMPLETE |
| Number | 4410001 |
| State | AL |
| Issuer | BLUE CROSS |
| Number | 51500604 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | 350040014 |
| State | AL |
| Issuer | UNITED HEALTH CARE |
| Number | 4410001 |
| State | AL |
| Name | Role |
|---|---|
| DIETRICH, JESSICA M | Agent |
| Name | Role |
|---|---|
| DIETRICH, JESSICA M | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
